Samantha Makenzie Taylor

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

820 W Jackson Blvd Ste 515
Chicago, IL 60607-3061

Phone

(312) 718-3336

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1316618440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD STE 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W JACKSON BLVD STE 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073061",
            "telephone_number": "312-718-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Enterprise Dr Ste 2515",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545805",
            "country_code": "US",
            "telephone_number": "312-718-3336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMANTHA",
        "middle_name": "MAKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Taylor, PA-C
• Renwick Wilson Taylor III, MD
• Sadara Taylor, M.D
• Saint Taylor
• Sally Marie Taylor, PT
• Seth Taylor
• Shawn Taylor, PHD
• Sidney Taylor
• Sondra Monet Taylor, MSW, L.C.S.W.
• Sophia Norma Taylor, APN

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.